2016 Measure Information About the Per Capita Costs for All Attributed Beneficiaries Measure, Calculated for the 2018 Value-Based Payment Modifier Program. 2017:1-8. https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Downloads/2016-TPCC-MIF.pdf. Accessed March ...
The agency states that the code will not be payable when an office visit is reported with modifier 25 or bundled with another service. Also, the code "would not be appropriately reported, such as when the care furnished during the [office] E/M visit is provided by a professio...